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Learning Healthcare System Principles to Facilitate Spread of DCR

  • Kara McElvaineEmail author
  • Joe C. McCannon
  • C. William Schwab
Chapter

Abstract

The fields of healthcare and public health regularly generate new innovations and evidence-based practices designed to alleviate suffering, improve quality of care, and help systems to function more efficiently. But while there is no shortage of well-established ideas about how to improve performance, disseminating what works remains a challenging and, at times, elusive enterprise. Adopting the principles of a learning healthcare system (LHS) can create an engine for embedding research-based and evidence-supported interventions and practices like Damage Control Resuscitation (DCR) into clinical care. An important facet of DCR is the need to bring it to the patients most in need and at an early interval after life-threatening injury and exsanguination. Thus, we address how different components of the trauma LHS (prehospital, en route, and in-hospital care) must integrate data, experience, and report outcomes to continuously learn, identify gaps, and direct further research and improvement. Prior to concluding, the chapter will briefly look at what it might take to introduce DCR at national scale.

Keywords

Learning healthcare system Empowering clinicians Adaptation Data-driven decision-making Managing fear Quality improvement Spread of innovations Tests of change Leadership Measurement and data systems 

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Kara McElvaine
    • 1
    Email author
  • Joe C. McCannon
    • 2
  • C. William Schwab
    • 3
    • 4
  1. 1.Oregon State UniversityCorvallisUSA
  2. 2.Billions InstituteCambridgeUSA
  3. 3.Perlman School of Medicine, University of PennsylvaniaPhiladelphiaUSA
  4. 4.Traumatology, Surgical Critical Care and Emergency SurgeryPenn Presbyterian Medical CenterPhiladelphiaUSA

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